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Showing results for "error".
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341. ISMP survey on tall man (mixed case) lettering to reduce drug name confusion. | PSNet
     psnet.ahrq.gov/issue/ismp-survey-tall-man-mixed-case-lettering-reduce-drug-name-confusion
     January 26, 2023 - June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

342. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/764394/psn-pdf
     March 02, 2022 - Assessing resident and attending error and adverse events in the emergency department. … Assessing resident and attending error and adverse events in the emergency department. … https://psnet.ahrq.gov/issue/assessing-resident-and-attending-error-and-adverse-events-emergency- department … errors were attributed to both residents and attendings, and treatment errors were the most common error … https://psnet.ahrq.gov/issue/assessing-resident-and-attending-error-and-adverse-events-emergency-department

343. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837810/psn-pdf
     August 10, 2022 - Society for Maternal-Fetal Medicine Special Statement: cognitive bias and medical error in obstetrics-challenges … Society for Maternal-Fetal Medicine Special Statement: Cognitive bias and medical error in obstetrics-challenges … psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-cognitive-bias-and-medical- error-obstetrics … The reduction of cognitive bias is generating increased interest as a diagnostic error reduction strategy … //psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-cognitive-bias-and-medical-error-obstetrics

344. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50375/psn-pdf
     September 25, 2019 - Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population … Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population … https://psnet.ahrq.gov/issue/medical-error-care-unrepresented-disclosure-and-apology-vulnerable-patient … https://psnet.ahrq.gov/issue/medical-error-care-unrepresented-disclosure-and-apology-vulnerable-patient-population … patient-safety-vulnerabilities-children-intellectual-disability-hospital-systematic-review https://psnet.ahrq.gov/issue/when-theres-no-one-whom-error-can-be-disclosed-how-should-error-be-handled

345. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61026/psn-pdf
     October 14, 2020 - A blinded, prospective study of error detection during physician chart rounds in radiation oncology. … A blinded, prospective study of error detection during physician chart rounds in radiation oncology. … https://psnet.ahrq.gov/issue/blinded-prospective-study-error-detection-during-physician-chart-rounds- … inserted these treatment plans into weekly chart rounds to assess the effectiveness of peer review on error … The authors suggest that error detection could be significantly improved by shortening chart rounds

346. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72526/psn-pdf
     January 01, 2021 - How effective are electronic medication systems in reducing medication error rates and associated harm … How effective are electronic medication systems in reducing medication error rates and associated harm … https://psnet.ahrq.gov/issue/how-effective-are-electronic-medication-systems-reducing-medication-error … review, the authors found variable evidence about the effectiveness of these systems for medication error … Included studies reported reductions in error rates, but implementation of electronic systems did not

347. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73087/psn-pdf
     March 31, 2021 - Developing open disclosure strategies to medical error using simulation in final-year medical students … Developing open disclosure strategies to medical error using simulation in final-year medical students … https://psnet.ahrq.gov/issue/developing-open-disclosure-strategies-medical-error-using-simulation-final … students participating in a high-fidelity simulation session based on open disclosure after medication error … https://psnet.ahrq.gov/issue/developing-open-disclosure-strategies-medical-error-using-simulation-final-year-medical

348. Your attention please... designing effective warnings. | PSNet
     psnet.ahrq.gov/issue/your-attention-please-designing-effective-warnings
     March 14, 2023 - June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

349. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837903/psn-pdf
     August 24, 2022 - The impact of drug error reduction software on preventing harmful adverse drug events in England: a … The impact of drug error reduction software on preventing harmful adverse drug events in England: a … https://psnet.ahrq.gov/issue/impact-drug-error-reduction-software-preventing-harmful-adverse-drug-events … In this study, dose error reduction software (DERS) was implemented across two large UK National Health … https://psnet.ahrq.gov/issue/impact-drug-error-reduction-software-preventing-harmful-adverse-drug-events-england

350. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47957/psn-pdf
     April 24, 2019 - A really stupid mistake: it does feel like a cop out to blame my error on human frailty, but I'm afraid … A really stupid mistake: it does feel like a cop out to blame my error on human frailty, but I'm afraid … https://psnet.ahrq.gov/issue/really-stupid-mistake-it-does-feel-cop-out-blame-my-error-human-frailty-im … commentary offers insights from a radiologist regarding the role of unintentional blindness in diagnostic error … https://psnet.ahrq.gov/issue/really-stupid-mistake-it-does-feel-cop-out-blame-my-error-human-frailty-im-afraid-thats

351. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74838/psn-pdf
     February 16, 2022 - Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety … Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety … https://psnet.ahrq.gov/issue/overstating-inpatient-deaths-due-medical-error-erodes-trust-healthcare-and … overestimated, and that patient safety advocates should shift the focus from estimating deaths due to medical error … https://psnet.ahrq.gov/issue/overstating-inpatient-deaths-due-medical-error-erodes-trust-healthcare-and-patient-safety

352. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60911/psn-pdf
     September 16, 2020 - Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine readmissions … Prevalence and characterisation of diagnostic error among 7-day all- cause hospital medicine readmissions … https://psnet.ahrq.gov/issue/prevalence-and-characterisation-diagnostic-error-among-7-day-all-cause- … Over a 12-month period, 5.6% of readmissions were found to contain at least one diagnostic error during … https://psnet.ahrq.gov/issue/diagnostic-error-emergency-department-learning-national-patient-safety-incident-report

353. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73315/psn-pdf
     May 26, 2021 - What contributes to diagnostic error or delay? … What contributes to diagnostic error or delay? … https://psnet.ahrq.gov/issue/what-contributes-diagnostic-error-or-delay-qualitative-exploration-across … conducted focus groups with key clinician stakeholders to determine factors that contribute to diagnostic error … https://psnet.ahrq.gov/issue/what-contributes-diagnostic-error-or-delay-qualitative-exploration-across-diverse-acute-care

354. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61057/psn-pdf
     October 28, 2020 - Improving Diagnostic Quality and Safety/Reducing Diagnostic Error: Measurement Considerations. … https://psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safetyreducing-diagnostic-error- measurement-considerations … Process and Outcomes domain of the 2017 Measurement Framework  for measuring and improving diagnostic error … failures; information overload; and dismissed patients) reflecting high priority examples of diagnostic error … https://psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safetyreducing-diagnostic-error-measurement-considerations

355. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74177/psn-pdf
     January 01, 2022 - Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. … Harnessing event report data to identify diagnostic error during the COVID- 19 pandemic. … https://psnet.ahrq.gov/issue/harnessing-event-report-data-identify-diagnostic-error-during-covid-19- … pandemic The COVID-19 pandemic has exacerbated existing challenges associated with diagnostic error … https://psnet.ahrq.gov/issue/harnessing-event-report-data-identify-diagnostic-error-during-covid-19-

356. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50576/psn-pdf
     October 23, 2019 - Breakdowns in the initial patient-provider encounter are a frequent source of diagnostic error among … Breakdowns in the initial patient-provider encounter are a frequent source of diagnostic error among … psnet.ahrq.gov/issue/breakdowns-initial-patient-provider-encounter-are-frequent-source-diagnostic- error-among … presents with non-specific symptoms and requires time-sensitive treatment, can be a source of diagnostic error … https://psnet.ahrq.gov/issue/diagnostic-error-stroke-reasons-and-proposed-solutions

357. It is time to define antimicrobial never events. | PSNet
     psnet.ahrq.gov/issue/it-time-define-antimicrobial-never-events
     November 16, 2022 - June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

358. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46293/psn-pdf
     January 01, 2021 - Development of the barriers to error disclosure assessment tool. … Development of the Barriers to Error Disclosure Assessment Tool. … https://psnet.ahrq.gov/issue/development-barriers-error-disclosure-assessment-tool Numerous factors … this study, researchers describe the development and validation of a tool to identify barriers to error … https://psnet.ahrq.gov/issue/development-barriers-error-disclosure-assessment-tool https://psnet.ahrq.gov

359. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838249/psn-pdf
     October 05, 2022 - Rooting an error review process in just culture: lessons learned. … Rooting an error review process in just culture: lessons learned. … https://psnet.ahrq.gov/issue/rooting-error-review-process-just-culture-lessons-learned Shifting to a … nonpunitive approach to adverse events can improve error reporting and the overall safety culture. … of the hospital’s incident reporting system and outlines how those findings informed changes to the error

360. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47936/psn-pdf
     June 14, 2019 - A team disclosure of error educational activity: objective outcomes. … A Team Disclosure of Error Educational Activity: Objective Outcomes. … https://psnet.ahrq.gov/issue/team-disclosure-error-educational-activity-objective-outcomes Open disclosure … development and impact of an educational program using simulation to promote learning regarding team-based error … https://psnet.ahrq.gov/issue/team-disclosure-error-educational-activity-objective-outcomes https://psnet.ahrq.gov